Symptom 4: Constipation
Just as frequent bowel movements are a concern, so is the lack thereof. Constipation, characterized by hard and infrequent stools, is another common IBS symptom in children. It’s not just about the frequency, though. Even if your child is passing stools daily, if they’re hard and lumpy and accompanied by straining, it’s a sign of constipation.
The underlying reasons for IBS-related constipation can vary. Slow-moving stools through the colon, inadequate fiber intake, and even stress can be contributing factors. The discomfort isn’t limited to the act of passing stools. The buildup can cause abdominal pain, further intensifying the distress.
Children might not always vocalize their discomfort, but their behavior can offer clues. They might avoid the toilet, fearing the pain associated with passing stools. Over time, this can lead to a vicious cycle where withholding stools leads to them becoming even harder. (4)